Individual
MRS. LISA DIANE NEUWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 827-6026
Mailing address
1112 SHOW CREEK LN, NORMAL, IL 61761-4875
(847) 308-4153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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